Certificate of Insurance - Structural Pest Control Board - State of ...

This is to certify that policies in the name of
Certificate of Insurance
Name of Insured:
Address:
are in force at the date hereof, as specified below, and that such policies fulfill all the requirements set forth in Article 9 (commencing at
Section 8690) of Chapter 14, Division 3 of the Business and Professions Code of the State of California, and that the same policies are as
described herein:
KIND OF POLICY POLICY NO. POLICY PERIOD
LIMITS OF LIABILITY
BODILY INJURY
PROPERTY DAMAGE
EFF.
EXP.
Each Person $
Each accident
or occurrence $
Each accident
or occurrence $
Aggregate $
EFF.
EXP
Each Person $
Each accident
or occurrence $
Each accident
or occurrence $
Aggregate $
The said policy or policies contain, or have been endorsed to contain, the following terms:
FUMIGATION COVERED
“Fumigation” is a risk covered by this policy. “Fumigation” shall be defined as the use within an enclosed space for the des truction of plant or
animal life, of a substance having a vapor pressure greater than 5 millimeters of mercury at 25 degrees centigrade.
RESTRICTION OF CARE, CUSTODY AND CONTROL EXCLUSION
It is further understood and agreed that the exclusion applying to property in the care, custody and control of the insured shall not apply to all
or any part of the premises or property upon which the insured’s operations take place; except that damage to premises or pro perty owned,
used by the insured as a tenant, or rented or leased to insured shall not be covered under this policy.
NOTICE OF CANCELLATION OR CHANGE
It is agreed and certified that no policy described herein shall be canceled or changed except as follows:
The insurance company which is the insurer on any of the policies listed herein, shall notify the Structural Pest Control Board of the State of
California in writing ten days before the cancellation of any of these policies or of any change of any of these policies (1) if such change would
cause any statement herein made to ceases to be true and (2) if such change occurs earlier than the end of the fixed period set forth in the
policy for the policy to be in force and designated in the chart above under the words “Policy Period”. The notice shall stat e the nature of the
change contemplated, or the intention to cancel, the effective date of the cancellation or change, and the changes in the content of such
statement to said Board which must be made upon such effective date and immediately after such change so that such statement to said
Board as thus changed will thereafter be true. For this purpose the insurance company may assume that no new insurance will be issued by
any insurer other than itself.
I hereby certify that the foregoing is a true and correct statement of the matters herein contained.
INSURANCE COMPANY
AUTHORIZED REPRESENTATIVE
NAME:
ADDRESS:
PHONE NUMBER:
NAME:
ADDRESS:
PHONE NUMBER:
SIGNED:
Dated:
Place:
FORM 43B-3 (01/14)
PLEASE SEE REVERSE SIDE

BUSINESS & PROFESSIONS CODE OF CALIFORNIA
Division 3, Chapter 14,
Article 9. Financial Responsibility
EFFECTIVE JANUARY 1, 2014
8690. Evidence of Insurance or Bond Required. The board shall not issue any company
registration under this chapter unless the applicant shall have filed with the board on a form
prescribed by the board evidence of an insurance policy approved by the board as specified
in this article, being in effect at the time of the issuance of the company registration. This
evidence shall include a provision that the board shall be given a 10-day notice by the
insurance company should the policy be canceled or changed during the policy period in a
manner as to affect the evidence. Another method of deposit, including a certificate of
deposit, or other undertaking shall not satisfy this requirement.
8691. Practicing Without Insurance. A registered company shall not engage in the practices for
which it is required to be registered by this chapter unless it maintains an insurance policy
as specified in this article.
8692. Type and Minimum Amount of Insurance. (a) An “insurance policy” as used in this article
means a contract of liability insurance issued by an insurance company authorized to
transact business in this state or one issued by a nonadmitted carrier whose activit ies in this
state are controlled by the Surplus Line Association, which insures the policyholder against
loss from legal liability for damages on property upon which work is being performed or has
been completed, including third-party losses, as a result of an accident or occurrence due to
participation in control, prevention, or repair activities that require a license under this
chapter. The insurance policy shall provide minimum limits of five hundred thousand dollars
($500,000) for any one loss due to bodily injury, sickness, or disease, including death at any
time resulting therefrom, sustained by any person, and five hundred thousand dollars
($500,000) minimum for any one loss due to injury or destruction of property, including the
loss of use of the property.
(b) This section shall not be construed to require errors and omissions insurance for all
activities relating to or during inspections, inspection reports, recommendations, estimates,
and bids, whether oral or written.
8695. Consequence of Violation. The violation of any provision of this article is a misdemeanor
and shall be grounds for suspension or revocation by the board of the operator’s license of
the owner or qualifying manager or managers of the registered company and of the
company registration.